Fascicolo monotematico "Disturbi funzionali nel bambino"
Valentina Rizzo, Mariella Baldassarre
1Dipartimento di Scienze Biomediche ed Oncologia Umana Sezione di Neonatologia e TIN, Università degli Studi “Aldo Moro”, Bari
Functional gastrointestinal disorders (FGIDs) are common digestive conditions characterized by chronic or recurrent symptoms in the absence of a clearly recognized gastrointestinal etiology. FGIDs are now defined as disorders of gut-brain interaction involving motility abnormalities, visceral hypersensitivity, altered mucosal and immune function, altered gut microbiota and altered central nervous system processing. For many years, diagnosis was based on exclusion of organic disease, but there is now evidence to support a symptombased diagnosis, using Rome criteria, recently revised symptom-based criteria to produce Rome IV. Although the classification system is an important component for categorizing these disorders, effective management requires a biopsychosocial approach that addresses the variability and complexity of these patients.